Individual
BRANDON TROY WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60574293
WA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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